front 1 What are the two stains used in capsular staining? | back 1 1. Crystal violet (Secondary stain) 2. Nigrosin (Primary stain) |
front 2 What is the appearance of the cell in positive and negative staining? | back 2 In positive staining it is colored by the dye and in negative it is colorless. |
front 3 What is the background appearance of the cell in positive and negative staining? | back 3 The background is clear in positive and black in negative. |
front 4 What is the name of two dyes used in positive staining? | back 4 Crystal violet and methyene blue |
front 5 What is the name of two dyes used in negative staining? | back 5 Nigrosin and india Ink. |
front 6 You are observing Streptococcus pneumoniae on a slide that has been stained using the capsular staining method. However, you do not see capsules surrounding the cells as you expected. What is a likely reason for this? | back 6 The slide was heat fixed, which can shrink or destroy capsules. |
front 7 Capsule staining is different from other classic microbiology staining protocols because? | back 7 1. Heat fixing is omitted 2. Capsules are specialized microorganism structures and
require different techniques to visualize. |
front 8 Which are the primary and secondary dyes for pore staining? | back 8 1. Malachite Green (Primary stain) 2. Safranin (Secondary stain) |
front 9 What are the steps for pore staining? | back 9 1. Apply Malachite Green with small piece of paper 2. Heat fix 3. Rinse 4. Apply Safranin 5. Rinse |
front 10 If safranin was omitted from the spore stain, the vegetative bacterial cells would appear? | back 10 Clear |
front 11 What is the purpose of the heating step? | back 11 it allows the dye to penetrate the pores. |
front 12 What is the primary stain for acid fast staining? | back 12 Carbolfuchsin |
front 13 What is the secondary stain in acid fast staining? | back 13 Methylene Blue |
front 14 What are the steps in acid fast staining? | back 14 1. Primary stain 5min 2. Decolorizer 1 min 3. Counterstain 30 min Rinse with water in between |
front 15 What type of staining is acid fast staining? | back 15 it is a differential stain. |
front 16 What does Carbolfuchsin bind to? | back 16 Mycolic acid in the cell wall |
front 17 You are given an unknown species of Staphylococcus growing in agar. How would you identify it? | back 17 I will use characteristics such as hemolysis, coagulase, novobiocin resistance and mannitol fermentation to determine identity of each of the unknowns. |
front 18 Which type of Agar will you use to detect for fermentation, hemolysis and novobiocin resistance? | back 18 1. Mannitol (MSA)-Fermentation 2. Sheeps' blood Agar (SBA)-Hemolysis 3. In order to determine if your unknown is resistant or sensitive to Novobiocin, you will first have to set up a resistance assay using a Novobiocin disk. |
front 19 The coagulase test can be performed using two different protocol. What are they? | back 19 1.The slide test is relatively easy to do giving results in less than 30 seconds. However, the slide test can lead to false negatives. 2.The test tube protocol is considered the definitive test with easy to read positive and negative results within 24 hours. |
front 20 What is the expected result of the coagulase test? | back 20 For both tests, clumping and solidification of the liquid rabbit plasma indicates a positive result. |
front 21 The first step in identifying a microorganism is to observe which culture media it will grow on. T/F | back 21 True |
front 22 The next step after identifying media for a microorganism to be identified is to determine what conditions the microorganism grew under such as: aerobic, anaerobic, or aerotolerant. T/F | back 22 True |
front 23 Viewing a Gram stain under the brightfield microscope is a skill that takes practice. To correctly interpret a Gram stain, you should start with the 10X objective to locate and focus on the cells and then work your way to the 100X immersion oil objective to see more details. Record your bacterial morphology observations based on what characterisitics? | back 23 •Gram stain reaction •Cell morphology or shape •Cell arrangement |
front 24 The third step to identify a microorganism is to observe colony characteristics. T/F | back 24 True |
front 25 What are the colony characteristics that should be observed? | back 25 1. Shape, size, color, surface appearance, and 2. Hemolysis. |
front 26 What are the bacterial colony sizes? | back 26 Bacterial colonies can vary in size from: 1. Pinpoint (<0.5mm - however, this size is usually only noted when identifying beta-hemolytic Streptococci) 2. •Small (<1mm) 3. Medium (approx. = 1mm) 4. large (>1mm) |
front 27 What testing needs to be done for confirmation of S. aureus isolation ? | back 27 Coagulase testing |
front 28 Biochemical tests are comprised of three methods, what are they? | back 28 spot, rapid, and conventional procedures. |
front 29 What is the catalase test detect for? | back 29 to detect the presence of catalase enzymes, which hydrolyzes hydrogen peroxide into water and gaseous oxygen (bubbles form) |
front 30 What does the catalase differentiate for? | back 30 This test is useful in differentiating Streptococcus spp. from Staphylococcus spp. |
front 31 What is the interpretation for a catalase test? | back 31 1. Positive reaction = immediate formation of bubbles 2. Weak positive reaction = formation of 1 or 2 bubbles 3. Negative reaction = no formation of bubbles or few bubbles after 20 seconds |
front 32 What is the bile solubility test based on? | back 32 The bile solubility test is based on the observation that pneumococcal cells lyse in the presence of bile salts (sodium desoxycholate). |
front 33 What is the interpretation for the bile solubility test? | back 33 1. Soluble = flattening or disintegration of the colony within 30 minutes 2. Insoluble = no change in colony integrity within 30 minutes |
front 34 What does the bile test differentiate for? | back 34 This test is useful to differentiate Streptococcus pneumoniae (positive) from alpha-hemolytic Streptococcus spp. (negative). |
front 35 What does UV light do to bacteria? | back 35 1. UV light controls bacterial growth by causing irreparable levels
of damage to the bacterial cell DNA. |
front 36 What are the steps to the Kirby-Bauer test? | back 36 1. Create a “lawn” of bacteria on your MHA plate: 2. Placing the antibiotic disks - 2 options use the antibiotic disk dispenser” or apply each disk by hand 3. Analyzing results. |
front 37 What is Mueller Hinton agar? | back 37 A special agar, Mueller-Hinton agar, is used along with
antibiotic |
front 38 How does one make bacterial lawn? | back 38 a. Drag the swab over the surface of the agar plate. |
front 39 What effect would endospore formation have on this UV light? Explain fully | back 39 UV light cannot penetrate endospores. |
front 40 What is the coagulase protocol? | back 40 1. Draw two circles on the slide using a waxed pencil. |
front 41 What is the bile esculin test? | back 41 The bile esculin test identifies if a microorganism can hydrolyze esculin in the presence of bile. |
front 42 What is the Bile esculin identify? | back 42 Bile esculin agar can be used to presumptively identify group D streptococci, enterococci, and Listeria. |
front 43 What is the interpretation of the bile esculin test? | back 43 1. Positive = blackening of the media 2. Negative = no color change of the media |
front 44 Why shoud the coagulase test be read within 20 minutes? | back 44 After that there will be false positives. |
front 45 What is the tube coagulase test? | back 45 The tube coagulase test is a 4 to 24 hour test that detects clumping factor and free coagulase. This test should be performed as confirmation to the slide test. |
front 46 What is the interpretation of the tube coagulase test? | back 46 1. Positive result = plasma will coagulate and form a gel (sometimes the plasma will solidify) 2. Negative result = plasma will remain a liquid |
front 47 How are streptococcus sp catergorised in a catalase test? | back 47 Streptococcus spp. are categorized by the type of hemolysis they produce on BAP (Alpha, Beta, and Gamma). |
front 48 What is the next step after identifying S.aureus? | back 48 determine if the microorganism is methicillin-resistant and if it is the same strain as the patient isolates. This would require susceptibility testing to check for methicillin resistance and PFGE testing for DNA typing and comparison. |
front 49 What is the Interpretation of CHROMagar MRSA test? | back 49 MRSA colonies on CHROMagar MRSA will appear mauve. Other microorganisms (non-MRSA) will be inhibited or produce colorless, white, blue or blue/green colonies. |
front 50 You have a Gram positive microorganism. Which biochemical test is useful in the differentiation of Staphylococcus spp. from Streptococcus spp.? | back 50 Catalase test |
front 51 Streptococcus spp., such as Streptococcus pyogenes (Group A Strep) and Streptococcus pneumoniae, are the most common aerobic, catalase negative, Gram positive cocci that can cause disease in humans. It is critical that you identify these microorganisms quickly as they may cause life threatening illnesses such as pneumonia, meningitis, sepsis, and necrotizing fasciitis. T/F | back 51 True |
front 52 Streptococcus spp. are Gram positive cocci found in pairs or chains. On blood agar (BAP), Streptococcus spp. usually produce glistening, smooth colonies. | back 52 True |
front 53 Why is it important that you are able to differentiate the beta-hemolytic streptococci? | back 53 1. Streptococcus pyogenes (Group A Strep) causes: Strep throat, pneumonia, impetigo, tissue infections, pleuritis, sepsis, and necrotizing fasciitis. 2. Streptococcus agalactiae (Group B Strep) is important as it is a leading cause of meningitis in newborns. Because of this, clinical laboratories screen pregnant women to see if they are carriers. |
front 54 CoNS are recognized as a cause of nosocomial infections in hospitals. T/F | back 54 True |
front 55 In a Gram stain, Staphylococcus spp. are Gram positive cocci found in clusters. On BAP, Staphylococcus spp. usually produce large, white-yellow or grey creamy, smooth colonies. S. aureus is beta-hemolytic while CoNS are usually non-hemolytic. T/F | back 55 True |
front 56 Lactobacillus are; medium, straight, uniform Gram positive rods, rounded ends that may be coccobacillary may form chains or spirals. T/F | back 56 True |
front 57 Corynebacterium are:Gram positive, pleomorphic, club shaped, rods, or coccobacilli that form palisading and/or angular arrangements. T/F | back 57 True |
front 58 Isolation of Streptococcus is typically done using blood agar. Note:
SBA is differential for RBC hemolysis but is not selective
for | back 58 True |